Can we use peroneus longus in addition to hamstring tendons for anterior cruciate ligament reconstruction?

Abstract

Background:The aim of this study is to evaluate the possible effects of removing the peroneus longus on the ankle and gait parameters, in order to add insufficient hamstring tendons for anterior cruciate ligament (ACL) reconstruction.Materials and Methods:In this controlled clinical trial, 375 patients with ACL rupture who underwent ACL reconstruction arthroscopically using hamstring tendons in the orthopedic clinics of Isfahan University of Medical Sciences in 2010 and 2011 were selected. Fifteen patients were included because their hamstring tendon diameter was lower than 8 mm and peroneus longus was added. After 6 months, the patients were followed using “Kistler force plate” to detect 3D kinematics and kinetics of the ankles and spatiotemporal walking parameters.Results:There was a significant difference between both operated and non-operated ankles in flexion/extension range of motion (P < 0.05). There was no significant difference between the moments of both ankles in sagittal and coronal planes (P > 0.05), but there was a significant difference between the moments of both ankles in the transverse plane (P = 0.006). There was a significant difference in the force of operated and non-operated ankles in all three planes (P < 0.05). There was no significant difference in the mean values of spatiotemporal gait parameters between operated and non-operated sides (P > 0.05).Conclusion:Removing the peroneus longus tendon has no effect on gait parameters and does not lead to instability of the ankle. So, it can be used as an autogenous graft in orthopedic surgeries.

Predicting the graft diameter of the peroneus longus tendon for anterior cruciate ligament reconstruction

“…[ 24 – 26 ] Among them, the peroneus longus tendon (PLT) has proven to be a promising graft and it has been reported to be safe and efficient. [ 27 – 29 ] However, there are no studies investigating the importance of anthropometric parameters regarding the PLT diameter so far. Therefore, the purpose of this retrospective study was to evaluate whether those anthropometric parameters are also associated with the diameter of PLT graft.…”

Does The Peroneus Longus Tendon Autograft Affect The Ankle Function? A Case Series

“…The second highest weight-bearing joint of the human body is a knee. There were ligamentous and involved cruciate ligaments which mainly provide knee stability 1,2 . According to the data, there were 238.488 knee ligament injuries occurred over the five years and often required for orthopaedic surgery 3 .…”

“…The patient morbidity appears from laceration, rupture, and inflammation of the tendon with disruption of quality of life 4 . The important thing for ACL reconstruction is to maintain knee stability and function that will allow returning to sport and avoid recurrent injury with many graft types, either autograft or allograft, which have already been studied widely 1,4,5 .…”

“…Furthermore, Hamstring autograft has another advantage, such as greater mechanical strength 1,5 , but it has been believed that it is difficult to predict the diameter of the harvested tendons before surgery, the potential decrease for hamstring power in the involved extremity, appearance of knee flexion strength deficiency, and could damage the saphenous nerve [4][5][6] . Subsequently, although the incidence of anterior knee pain and kneeling pain is lower than BPTB, it could occur, especially in Asians who frequently kneel as part of their daily activity 7 .…”

“…The choice of autograft that can be chosen as a new alternative is the peroneus longus (PL) tendon. Because of its length and strength, PL tendon was a suitable choice for ACL reconstruction, but there is little information that evaluated the donor site morbidity of PL tendon graft 1,4,8 . This study aims to evaluate the functional outcome of donor site morbidity after full-thickness PL tendon harvesting for knee ligament reconstruction by using the functional scores assessment system of foot and ankle.…”